HAWAII COLLEGE OF ORIENTAL MEDICINE (NPI# 1003257585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003257585 |
| Entity Type | Organization |
| Organization Name | HAWAII COLLEGE OF ORIENTAL MEDICINE |
| Other Organization Name | HICOM FACULTY COMMUNITTY CLINICAL SERVICES |
| Practice Address |
93 Banyan Dr Ste 10 Hilo HI 96720-4632 |
| Practice Telephone | 8089331369 |
| Practice Fax Number | 8667572131 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |
| Authorized Official Name | PROF. WILLIAM BURTON PETTIS (MEDICAL DIRECTOR / DEAN) |
| Authorized Official Telephone | 8089812790 |
| Authorized Official Credential | MS, EAMP, LAC, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | ACU-1054 | HI | Other Service Providers |
| N | 171100000X | Acupuncturist | ACU-1056 | HI | Other Service Providers |
| N | 171100000X | Acupuncturist | ACU-1070 | HI | Other Service Providers |
| Y | 171100000X | Acupuncturist | 671 | HI | Other Service Providers |
| Other Name | Type Code |
|---|---|
| HICOM Faculty Communitty Clinical Services | Other Name - Individual/Organization |
| Street Address |
93 BANYAN DR STE 10 |
| City | HILO |
| State | HI |
| Zip Code | 96720-4632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881256030 | Rabakka Fulkerson | Acupuncturist | 190 Keawe St Ste 33, Hilo, HI 96720-2849 | 2019-07-08 |
| 1871039016 | Ann Klaft | Acupuncturist | 360 Kauila St Apt 309, Hilo, HI 96720-2127 | 2017-01-11 |
| 1518321611 | Carla Kuo | Acupuncturist | 13 Ilima Pl, Hilo, HI 96720-1728 | 2016-04-05 |
| 1245619865 | Jana Ching | Acupuncturist | 780 Laukapu St., Hilo, HI 96720 | 2015-05-28 |
| 1295158319 | Dawn Crabbe | Acupuncturist | 2211 Kilauea Ave, Hilo, HI 96720-5309 | 2014-01-24 |
| 1417388760 | Hicom University | Acupuncturist | 180 Kinoole St Ste 301, Hilo, HI 96720-2827 | 2013-12-11 |
| 1699106096 | Tuy-ngoc Binh Nguyen | Acupuncturist | 1444 Wailuku Dr, Hilo, HI 96720-1254 | 2013-12-10 |
| 1306270301 | Robert Michael Duerr | Acupuncturist | 166 Kilauea Ave, Hilo, HI 96720-2908 | 2013-08-26 |
| 1750723607 | Kristine Nakasato | Acupuncturist | 192 Kapiolani St, Hilo, HI 96720-7825 | 2013-07-20 |
| 1134429830 | Cathrine Rebecca Ann Wingate | Acupuncturist | 36 Komohana St, Hilo, HI 96720-2008 | 2010-10-27 |
| Find all providers in HILO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.